• Clinical Fraud Investigator II - Registered

    Elevance Health (Costa Mesa, CA)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate...times per week. Specific requirements and expectations for time onsite will be discussed as part of… more
    Elevance Health (08/16/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Walnut Creek, CA)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** ** Virtual :** This role enables associates...times per week. Specific requirements and expectations for time onsite will be discussed as part of… more
    Elevance Health (08/13/25)
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  • LTSS Service Coordinator- RN Clinician

    Elevance Health (Sacramento, CA)
    …week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health ... **LTSS Service Coordinator - RN Clinician** **Location:** Candidate should reside in California...in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to… more
    Elevance Health (06/28/25)
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  • Med Mgmt Clinician Sr (US)

    Elevance Health (Los Angeles, CA)
    …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians **How you will ... skill development. Please note that per our policy on hybrid/ virtual work, candidates not within a reasonable commuting distance...times per week. Specific requirements and expectations for time onsite will be discussed as part of… more
    Elevance Health (08/19/25)
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  • Nurse Demand Management

    Elevance Health (Costa Mesa, CA)
    …and experience, which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. ** Nurse Demand Management II** ... which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. ** Nurse ...times per week. Specific requirements and expectations for time onsite will be discussed as part of… more
    Elevance Health (08/21/25)
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  • Mgr l Care Mgmt

    Elevance Health (Los Angeles, CA)
    …week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health ... balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may… more
    Elevance Health (08/23/25)
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  • Med Mgmt Nurse (US)

    Elevance Health (Costa Mesa, CA)
    …week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health ... ** Virtual :** This role enables associates to work virtually...5pm PST, this position includes weekends. The Med Mgmt Nurse is responsible for review of the most complex… more
    Elevance Health (08/12/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Costa Mesa, CA)
    **Telephonic Nurse Case Manager II** **Location: Virtual : This role enables associates to work virtually full-time, with the exception of required in-person ... development.** " _Please note that per our policy on hybrid/ virtual work, candidates not within a reasonable commuting distance...times per week. Specific requirements and expectations for time onsite will be discussed as part of… more
    Elevance Health (08/23/25)
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  • Investigator Senior

    Elevance Health (Los Angeles, CA)
    …week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health ... balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may… more
    Elevance Health (08/13/25)
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  • Behavioral Health Provider Quality Manager…

    Elevance Health (Los Angeles, CA)
    …week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health ... balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may… more
    Elevance Health (07/25/25)
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